BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON MINI

    MDR report key: 2892310 · Received December 27, 2012

    Report

    Report Number
    1627487-2012-12849
    Event Type
    Injury
    Date Received
    December 27, 2012
    Date of Event
    November 30, 2012
    Report Date
    November 30, 2012
    Manufacturer
    ST. JUDE MEDICAL - NEUROMODULATION
    Product Code
    LGW
    PMA / PMN Number
    P010032
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    SJM HAS LIMITED INFO RELATED TO THE PT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PT'S HISTORY TO THE EVENT REPORTED. SJM DEFERS TO THE PT'S PHYSICIAN REGARDING MEDICAL HISTORY.

    Description of Event or Problem · 1

    IT WAS REPORTED, THE PT EXPERIENCES PERSISTENT PAIN AND DISCOMFORT AT THE IPG SITE, WITH STIMULATION ON OR OFF. THE PHYSICIAN BELIEVES THE PAIN IS DUE TO THE HEALING PROCESS AND ADVISES PT TO USE LOTION AT THE SITE AND IBUPROFEN TO ALLEVIATE THE PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3769617

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Required Intervention IMPLANTED:| SCS LEAD: MODEL 3219